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October 2025
Volume 59, Issue 10

THE EDITOR'S CORNER

The Lateral Linchpin

NEAL D. KRAVITZ DMD, MS

Historically, the upper central incisors have been the focal point of smile design. They establish facial symmetry by aligning with the dental midline and serve as the foundation for esthetic planning...

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2025 JCO Orthodontic Practice Study Part 1: Trends

NEAL D. KRAVITZ DMD, MS, DAVID S. VOGELS III, PHILIP B. VOGELS

This first installment of the three-part biennial JCO Practice Study focuses on trends in orthodontic economics and practice administration—from income, fees, and caseloads to methods of managing and growing a practice—over the 44 years since the first survey.

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Switching Lower Canine Brackets in Class III Cases

RICARDO MORESCA DDS, MSc, PhD

Dr. Moresca discusses a simple but effective strategy for controlling lower incisor inclination in Class III camouflage cases. Switching the lower left and right canine brackets reverses the tip without altering the torque, counteracting a tendency toward labial inclination that can compromise smile esthetics.

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DIGITAL ORTHO LAB

Direct-Printed, Titratable Mandibular Advancement Device for Obstructive Sleep Apnea

EVA ŘEZÁČOVÁ MDDr, JIŘÍ HÁLEK MDDr

Drs. Řezáčová and Hálek present a digital workflow for fabricating a custom mandibular advancement device for patients with obstructive sleep apnea. Interchangeable advancement blocks enable the amount of mandibular protrusion to be adjusted for the best balance of efficacy and comfort.

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CASE REPORT

Compensatory Orthodontic Treatment of a Long-Face Patient with Long-Term Follow-Up

EMILY SOUTO MARTINS DSc, MS, JÉSSICA DE OLIVEIRA SOUZA DSc, MS, LICIA PACHECO TEIXEIRA DSc, MS, LILIANI AIRES CANDIDO VIEIRA DSc, MS, PhD, MAURICIO DE ALMEIDA CARDOSO DSc, MS, PhD

The authors follow a patient with a long face for 18 years, documenting a two-phase interceptive treatment in the mixed dentition, retreatment for anterior open bite relapse after growth completion, and the resulting stability, which was maintained for seven years.

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DIAGNOSTIC CHALLENGE

Case #12, Part 1: Presentation

SARAH ABU ARQUB BDS, MSc, MDentSci, MITALI CHITRE CARLISLE DMD, MS, SAMANTHA MONTOYA DMD, MS, ANDREW DOLCE DMD

Courtesy of University of Florida, Gainesville In this monthly column, Contributing Editors Gayle Glenn, DDS, MSD, and Shawn L. Miller, DMD, MMSc, present a case to challenge your diagnostic and tr...

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Understanding "Flip, Don't Switch"

NEAL D. KRAVITZ DMD, MS, SHAWN MILLER DMD, MMedSc, SERGIO HERNAN VALVERDE MONTALVA DDS, MS, ANDRE WEISSHEIMER DDS, MS, PhD, SERCAN AKYALÇIN DDS, MS, PhD

Drs. Kravitz, Miller, Valverde, Weissheimer, and Akyalçin clarify the frequently misunderstood mnemonic for reversing a bracket’s torque and show how it can be applied to add labial root torque to palatally displaced upper lateral incisors, improve lower incisor root positions, and adjust canine torque.

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PEARLS

The "Sashette" Attachment for Correcting Severely Rotated Upper Central Incisors

JONATHAN NICOZISIS DMD, MS

Dr. Nicozisis introduces a variation on his “sash” attachment designed specifically for upper central incisors. Placing these smaller attachments in the incisal third reduces visibility while improving rotational control during clear aligner treatment.

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Product News in October 2025 Issue

PRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO.

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DIAGNOSTIC CHALLENGE

Case #11, Part 2: Treatment

NIRALI THAKOR DDS, STEPHANIE YANG DMD, JENNIFER SHAHAR DDS, MMSc, MBS, ANDRE WEISSHEIMER DDS, MS, PhD, SERCAN AKYALÇIN DDS, MS, PhD, GAYLE GLENN DDS, MSD

Courtesy of Harvard School of Dental Medicine In this monthly column, Contributing Editors Gayle Glenn, DDS, MSD, and Shawn L. Miller, DMD, MMSc, present a case to challenge your diagnosis and trea...

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Continuing Education from October 2025 Issue (questions only)

Click here to download a PDF of the printed questions from the journal for reference. CE tests must be taken online. When you are ready, go here to take the quiz.

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